Digital Commons Network^™

Contribution Of National Health Insurance Patient Revenue To Financial Performance Of Private-Profit Hospitals From 2017 To 2022, Fadlul Imansyah, Amal Chalik Sjaaf, Mardiati Nadjib, Rina Hartini

Kesmas

This study investigated the relationship between National Health Insurance (NHI) patient revenue and profit-private hospital financial performance in Indonesia. As the NHI provider, Badan Penyelenggara Jaminan Sosial (BPJS) Healthcare Security’s influence on hospital revenues has raised concerns about its impact on financial sustainability. This study used financial performance indicators to develop a financial performance index—Return on Assets (ROA), Return on Equity (ROE), Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) Margin, Current Ratio, and Net Profit Margin (NPM)—to assess the financial impact of BPJS Healthcare Security revenue. A partial model approach of multiple linear regression was employed using secondary data …

Enhancing Reading Comprehension And Critical Thinking Skills Through Lms Integration In An English For History Course For Non-Efl Undergraduate Students, Izzatul Fajriyah, Silvi Nur Afifah

Higher Learning Research Communications

This study addresses the challenges faced by non-EFL undergraduate students in enhancing reading comprehension and critical thinking skills within an English for History course. While existing research has explored reading comprehension and critical thinking in EFL contexts, there is a notable gap in understanding how these skills can be developed in non-EFL students through the integration of learning management systems (LMS). The aim of this study is to investigate the impact of LMS on improving reading comprehension and critical thinking skills among non-EFL undergraduate students who are enrolled in an English for History course. A sequential mixed-methods approach was employed, …

Understanding Juvenile Delinquency: Analyzing Familial, Social, And Psychological Risk Factors, Kasey Gagan

Dissertations, Theses, and Projects

Juvenile delinquency poses a burden for families, communities, and the criminal justice system. Criminal conduct among youth has lasting consequences on social outcomes and long-term well-being. Understanding the reasons behind these behaviors at a young age is critical to establishing effective intervention and prevention strategies. Based on the Social Learning Theory, Disorganization Theory, and the Control Theory. This thesis examines the most prominent familial, social, and psychological factors that contribute to juvenile delinquency, with a particular emphasis on how these variables increase risk for vulnerable adolescents. Integrating these theories, this study assesses how both learned behavior and a lack of …

Assessing The Transformation Of Livelihoods In Illegal Gold Mining Communities, Nurmansyah Ardikoesoema, Mahawan Karuniasa

Journal of Environmental Science and Sustainable Development

Illegal Artisanal Small-Scale Gold Mining (PETI) in Poboya, Palu City, exemplifies Indonesia’s nexus of socio-environmental vulnerability and institutional marginalization. Although environmental degradation, health impacts, and regulatory challenges associated with PETI have been extensively documented, limited research has systematically examined how the interplay of capital assets and internal motivation drives livelihood transformation pathways within PETI communities. To address this gap, this study uniquely integrates the Sustainable Livelihood Framework with spatial analysis to assess the combined influence of environmental, social, and economic capitals on PETI livelihood transitions. Using a mixed-methods approach, data were collected through quantitative survey and qualitative in-depth interviews with …

Environmental Impacts Of Land Use Change In Industrial Areas, Dwi Nowo Martono, Aruminingsih Aruminingsih

Journal of Environmental Science and Sustainable Development

Industrial development in Indonesia has been predominantly concentrated on Java Island, particularly in Karawang Regency, West Java Province. Covering an area of 175,327 hectares, Karawang has been identified as a strategic region for national food security. The Minister of Agrarian Affairs and Spatial Planning designated 95,667.45 hectares of rice fields as protected agricultural land. However, the expansion of industrial and residential areas within the regency poses a significant threat to its role as the national rice granary and to broader food security. As industrial land occupancy increases, the environmental capacity to support rice production and ensure national food security declines. …

Sustainable Water Management In Universities: Perceptions, Behaviours, And Challenges, Hastin Setiani, Dwita Sutjiningsih, Riri Fitri Sari

Journal of Environmental Science and Sustainable Development

Universities are increasingly adopting the “living laboratory” model to implement and evaluate sustainability innovations. These settings enable students, staff, and stakeholders to co-create and test real-world solutions, including those related to water use. Universitas Indonesia promotes sustainability through an integrated approach encompassing policy development, academics programs, and infrastructures. Prior studies using the Theory of Planned Behavior (TPB) have demonstrated that attitudes and perceived norms significantly influence sustainable behavior. However, limited research has examined how these dynamics operate within Indonesian universities or how university-based initiatives may contribute to broader urban water management. This study addresses that gap by examining perceptions, behaviors, …

Evaluation Of Sustainability Assessment Post Changes In The Management Of The Natural Reserve To The Natural Tourism Park In Kamojang Area, West Java, Indonesia, Purna Hindayani, Alnidi Safarach Bratanegara, Intan Adhi Perdana Putri, Zuzy Anna, Armandha Redo Pratama

Journal of Environmental Science and Sustainable Development

The area of Kamojang Nature Tourism Park, which was originally only 255 hectares, has expanded to 2,391 hectares following a changes in the Nature Reserve area. This change has raised concerns and objections from various parties, as it is considered to open opportunities for exploitation, threaten biodiversity, and potentially trigger tourism activities that may degrade the environmental quality of the areaThis study aims to analyze the sustainability status index of the Kamojang Natural Tourism Park following the status downgrade from a Nature Reserve to a Natural Tourism Park. A descriptive qualitative approach used, utilizing the Multi-dimensional Scaling model to determine …

Bibliometric And Content Analysis: Application Of The Theory Of Planned Behavior In Environmental Issues, Nofi R.A.R Samputra, Kurniawaty Iskandar, Tri Edhi Budhi Soesilo, Dwi Nowo Martono

Journal of Environmental Science and Sustainable Development

Theory of Planned Behavior (TPB) has been widely applied in environmental science as it closely linked to human behavior. This study aims to analyze research trends, identify potential future research, and propose the development of an integrative TPB model to address gaps in previous research. A total of 120 articles were selected from the Scopus database using rigorous screening criteria, including title-based selection, English-language articles, and a manual abstract review, covering publications up to April 4, 2025. Bibliometrix, VOSviewer, and MindMup were used to support keyword visualization and content interpretation. The results show that China and the United States lead …

Microbial And Ecophysiological Indices Of Agricultural Soils As Affected By Different Farming Practices In Tropical Monsoon Climate, Gulshan Ara Begum, Sajal Roy, Nasrin Chowdhury

Journal of Environmental Science and Sustainable Development

Organic farming is increasingly promoted as a sustainable alternative to conventional agriculture due to its positive effects on soil microbial dynamics, a critical component of ecosystem functioning. However, empirical comparisons of microbial responses across these systems are scarce. Therefore, we conducted a study to assess the various microbial indices of soils taken from distinct crop fields (e.g., brinjal, chilli, tomato, bean, and fallow lands) managed under both conventional and organic farming techniques. Composite soil samples from surface layer (0–15 cm) were collected in a completely random way from Bandarban upazila of Bangladesh (22°11'24.0"N 92°09'00.0"E, organic fields; 22°10'12.0"N 92°09'36.0"E, conventional fields). …

Convergence In Action: Where Environmental Science Meets Sustainable Development Practice, Herdis Herdiansyah

Journal of Environmental Science and Sustainable Development

Since the introduction of the Sustainable Development Goals (SDGs), the pursuit of human well-being through development and planetary sustainability for a better future has become a global discourse (de Jong & Vijge, 2021; Naseer et al., 2025; Arora-Jonsson, 2023). The SDGs have catalyzed interdisciplinary dialogue and strengthened global commitment (Naseer et al., 2025) by emphasizing the balance and integration of economic, social, and environmental aspects (Sedovs et al., 2025). However, the assumption that all goals can be achieved simultaneously and harmoniously seems hasty and potentially ignores the inherent tensions between ecological and …

Resilient Greenport Conceptual Model: Integrating Masterplan With Flood And Land Subsidence Disaster Management, Teuku Khamil Syamsura, Kosuke Mizuno, Supriatna Supriatna

Journal of Environmental Science and Sustainable Development

Hydrometeorological disasters, such as flooding by seawater intrusion and land subsidence from excessive water resource usage, significantly disrupt maritime traffic and port infrastructure, leading to severe economic and social consequences. This study aims to develop a conceptual model for a disaster-resilient and environmentally friendly port. The primary objective is to analyze the components of the Port Masterplan (RIP), the Greenport concept, current operational conditions, and surrounding disaster threats for develop conceptual model. A mixed-methods approach, integrating quantitative and qualitative analyses, was employed. The study examined various components of the Tanjung Priok Port Masterplan, operational data, and environmental and disaster risk …

Understanding Offline Pro-Environmental Identity: Factors And Implications, Tusyanah Tusyanah, Rahayu Puji Haryanti, Wijang Sakitri, Ismiyati Ismiyati, Nur Chayati

Journal of Environmental Science and Sustainable Development

Given global environmental challenges, developing sustainable behavior among pre-service teachers is crucial, as they will be responsible to educate future generations who must contribute to solving environmental problems. Offline pro-environmental identity refers as the individual's environmental commitment in real-life setting. Previous studies have primarily focused on online identity and behavioral intentions, while real-life behavioral context have not been fully examined. The goal of this study was to investigate the effects of the online pro-environmental identity, the perceived behavioral control, and the moral identity on the behavioral intention and the offline pro-environmental behavior. The study employed a quantitative research design and …

Generative Artificial Intelligence In Academic Publishing: A Catalyst For Transformation Or A Facilitator For Further North-South Divide?, Samir Al-Adawi, Madan M. Maddali

Sultan Qaboos University Medical Journal

No abstract provided.

Becoming Culturally Responsive: Cultivating Reflexive Ethics And Inclusive Practices In Qualitative Research, Tito Dimas Atmawijaya

The Qualitative Report

Maria K. E. Lahman's An Introduction to Qualitative Research: Becoming Culturally Responsive (2025) offers a compelling framework for conducting qualitative inquiry with cultural humility, reflexivity, and ethical rigor. This review examines how Lahman interweaves theory and practice across three parts—foundations, data collection, and making the most of qualitative data—to guide researchers toward inclusive, justice-oriented scholarship. By analyzing the book’s structure, key themes, and pedagogical features, this review highlights its transformative potential for scholars, students, and practitioners committed to meaningful, culturally responsive research.

Strengthening Qualitative Research With Visualization: A Review Of Visual Displays In Qualitative And Mixed Method Research: A Comprehensive Guide, Dian Permatasari

The Qualitative Report

Visual Displays in Qualitative and Mixed Method Research: A Comprehensive Guide by Elizabeth G. Creamer (2025) offers a new perspective on the use of visualization to enhance qualitative and mixed methods research. This review examines the book’s content, which includes a variety of examples of visual displays (tables, diagrams, models) at various stages of research, from study design to reporting results. The book demonstrates how visual displays can be used not only to report results but also to enrich the research process from planning to analysis. With real-world examples from a variety of studies, the book is a valuable resource …

Mathematics Teachers' Perspectives On Computational Thinking: Insights Into Knowledge, Strategies, And Challenges, Hasan Djidu, Heri Retnawati, Haryanto Haryanto

The Qualitative Report

In this study we explored how mathematics teachers in Indonesia understood and implemented Computational Thinking Skills (CTS), as well as the challenges they encountered. While CTS—encompassing skills such as decomposition, pattern recognition, abstraction, and algorithmic thinking—had gained prominence in global education reform, its classroom-level integration remains uneven, especially in diverse school settings. Through semi-structured interviews with 11 mathematics teachers from primary and secondary schools across varied regions in Indonesia, including underserved and remote areas, we examined how CTS was conceptualized, practiced, and hindered in real-world teaching. Our thematic analysis revealed three key findings: (a) teachers demonstrated uneven familiarity with CTS, …

Shifting From Crisis To Prevention: Community-Generated Materials From The Core Sipp Listening Sessions (Version 1), Camille Velarde, Mahtab Soleimani, Yvonnie Baik, Theresa Cruz

Reports & Documents

The Core State Injury Prevention Program (CORE SIPP) in New Mexico sought to understand how communities can prevent injury and violence before crisis occurs. In 2025, the University of New Mexico Prevention Research Center, in partnership with the New Mexico Department of Health, listened to service providers, advocates, and community leaders working with youth and families across the state. Participants described overlapping challenges, including poverty, unsafe housing, limited mental health care, transportation gaps, and a lack of safe spaces for young people, and emphasized that real prevention must start early and address families’ basic needs. From these sessions, community members …

Influences Of The Western Press On News Framing Of Global Events In Developing Countries: Examining Covid-19 And Climate Coverage In A Bangladeshi News Organization, Arif Md Tareque Habib

Communication ETDs

This study shows that a small number of Western news organizations (e.g., Reuters, The New York Times) may influence how local news organizations in developing countries frame global crises and that this influence may lead local news organizations to ignore locally relevant aspects of those crises. To test this thesis, two studies were conducted on the coverage of two crises -- COVID-19 and climate change -- by a news organization in Bangladesh, a developing country in South Asia. The news organization, www.bdnews24.com, serves both as a news agency or news supplier for local newspapers and an online newspaper for users. …

Role And Use Of Race In Artificial Intelligence And Machine Learning Models Related To Health, Martin C Were, Ang Li, Bradley A Malin, Zhijun Yin, Joseph R Coco, Benjamin X Collins, Ellen Wright Clayton, Laurie L Novak, Rachele Hendricks-Sturrup, Abiodun O Oluyomi, Shilo Anders, Chao Yan

Faculty, Staff and Students Publications

The role and use of race within health-related artificial intelligence (AI) and machine learning (ML) models have sparked increasing attention and controversy. Despite the complexity and breadth of related issues, a robust and holistic framework to guide stakeholders in their examination and resolution remains lacking. This perspective provides a broad-based, systematic, and crosscutting landscape analysis of race-related challenges, structured around the AI and ML life cycle and framed through "points to consider" to support inquiry and decision-making.

Potential Impact Of Dotted Paropsine Beetle And Other Leaf Beetles On Eucalyptus In Utah, Marion Murray, Victoria Xiong, Megan Kast

All Current Publications

Dotted paropsine leaf beetle (DPLB) is an invasive eucalyptus pest native to Australia. Its first U.S. detection was in California in 2022. DPLB feeds on several eucalyptus species, with blue gum as its primary host. Feeding damage includes semicircular notches on leaf edges, defoliation of young leaves, and dieback of shoot tips. DPLB poses a threat to eucalyptus plantings across the western U.S. and to cut foliage producers in Utah.

Biotechnology Research Incubator For Teachers (Brite) Pilot Program: Advancing Technology Research Education For Secondary School Teachers, Zhongcheng Shi, Katherine A Harris, Alana D Newell, Michael Nguyen, Yuan Yao, Joel Sederstrom, Cynthia C Hallmark, Sherita Love, Fred A Pereira, Shixia Huang

Faculty, Staff and Students Publications

Introduction: Advanced technologies have transformed diagnostics and therapeutics, improving disease management. Secondary school educators play a vital role in fostering critical thinking, problem-solving, and inspiring students in science, technology, engineering, math, and medicine (STEMM) innovations. Comprehensive teacher training enhances education delivery and ensures long-term advancements in science education, empowering future generations.

Materials and methods: We launched the Biotechnology Research Incubator for Teachers (BRITE) pilot program to train secondary school teachers. This 3-week program immerses teachers in Advanced Technology Core facilities, providing hands-on experience with cutting-edge technologies, such as protein array technology, next-generation sequencing, and flow cytometry. It also offers collaborative …

The Eleventh Annual Meeting Of The Southeastern Association Of Shared Resources (Seasr) Nashville, Tn, Usa June 12-14, 2024, Jenny C Schafer, Lyra M Griffiths, Tania E Mesa, Deidre Daria, Daniel Kraushaar, Kristen V Massey, Edith M Sampson, Laura Fox-Goharioon, Laxminarayanan Krishnan, Stacie Woolard, Aaron Pitre

Faculty, Staff and Students Publications

No abstract provided.

Using Vizient Database For Benchmarking Pulmonary Resection Outcomes, Anuj Shah, Duc T Nguyen, Swetha Mulpur, Sayali Kelkar, Ray K Chihara, Warren Naselsky, Edward A Graviss, Min P Kim

Faculty, Staff and Students Publications

Background: Benchmarking pulmonary resection outcomes is critical for the evaluation of hospital performance and enhancing the quality of patient care. Both the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and Society of Thoracic Surgeons General Thoracic Surgical Database (GTSD) provide outcomes after lung resection, but each database had its own limitations. We aimed to determine whether the Vizient database can be used to benchmark lung resection outcomes.

Methods: We performed a retrospective cohort analysis of pulmonary resection cases at a single institution using the Vizient dashboard and GTSD. We examined whether all pulmonary resections were captured and …

Impact Of Resources And Structure On Scholarly Productivity In Pediatric Critical Care Fellowship, Andrew G Smith, Danny Castro, Caroline Andy, Angela S Czaja, Donald L Boyer, Erika L Abramson, Pnina Weiss, Richard B Mink

Faculty, Staff and Students Publications

Background: Pediatric critical care medicine (PCCM) fellowship structures vary widely among programs and have not been examined since 2006. The development of scholarly knowledge and skills is an important part of fellowship training. However, the optimal PCCM fellowship structure to enable fellows' scholarly productivity is unknown. Objective: We examined PCCM fellowship time structure and resources to better understand their association with scholarly productivity.

Methods: This is a secondary analysis of cross-sectional survey data from PCCM fellowship program directors. We defined highly productive programs as those in which greater than 75% of fellows published papers from their scholarly projects in the …

“Not Conducive To Good Education”: Insights From Interviews With High School Math Teachers About The Academic Impacts Of Covid-19 In The Classroom, Thomas G. Holtmeier, Brook K. Batch, Rebecca J. Allen

Mid-Western Educational Researcher

This study explores the academic impacts of COVID-19 and virtual learning on high school math students in the United States. Previous research has found that COVID-19 led to significant declines in engagement and test scores, alongside a widening opportunity gap among students of different backgrounds. This study interviewed high school math teachers from two private schools to understand what they have observed of students both during the pandemic and now. The findings reveal that the virtual learning experience had a limited negative impact on most students in these two schools, but teachers expressed concerns about the limitations of the …

Comparison Of Kinematic Outputs And Reliability Of Plug-In Gait Versus Conventional Gait Model 2 During Cycling, Erin Mccallister, Nicholas Russell

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 712-726, 2025. Motion analysis is used to measure proper bicycle fit, avoid injury, and improve cycling performance. Small changes in position can impact joint kinematics and risk for overuse injury. Concerns regarding the often-used biomechanical model Plug-in-Gait (PIG) resulted in the creation of Conventional Gait Model 2 (CGM2). This study aims to compare kinematic outputs of these two models for cycling biomechanics plus between-day reliability of each model. Thirty-five participants participated in two experimental sessions. PiG and CGM2 marker sets were applied, and data was collected while cycling between 80-90 rpm. Model outputs were …

Nearctic Epiblema: A New Synonymy, A Revised Identity, And Two New Species (Lepidoptera: Tortricidae), William E. Miller

The Great Lakes Entomologist

New findings are reported for four species: Epiblema naoma Clarke is a junior synonym of E. iowana McDunnough; E. numerosana (Zeller) is currently misidentified; E. chromata, currently identified as the preceding, is described from Texas and differentiated from E. grossbecki Heinrich by maculation and female genitalia; and E. arctica, recently discovered in the Alaskan tundra, is described and differentiated from the boreal E. lyallana McDunnough by maculation and male genitalia.

Winter Wheat Cold Hardiness And Fructan Reserves Affected By Rhopalosiphum Padi (Homoptera: Aphididae) Feeding, S. G. Wellso, C. R. Olien, R. P. Hoxie

The Great Lakes Entomologist

The cold hardiness of 'Winoka' and 'Genesee' winter wheats was each significantly less (P = 0.05) when fed upon by bird-cherry oat aphids, Rhopalosiphum padi, than non-infested seedlings. Aphid feeding also reduced the amount of fructans in crown tissue ca. 20% compared to extracts from crowns of non-infested seedlings. It appears that the cold hardiness of these wheat cultivars may have been reduced because of fructan depletion by insect feeding.

Systematics Of Anepeorus (Ephemeroptera: Heptageniidae), W. P. Mccafferty, A. V. Provonsha

The Great Lakes Entomologist

The enigmatic genus Anepeorus has a confused and complex taxonomic history that is discussed and clarified. The genus is redefined and described in the adult stage. Although laryae have been assigned to Anepeorus, these larvae cannot be shown at the present to be Atnepeorus. Two North American species are known from a total of 10 adult specimens . . -tnepeorus rusticus McDunnough and A. simplex (Walsh) are redescribed, and a neotype is designated for the latter species. Genitalic differences are diagnostic, but the penes may be found in different states of inflation and rotation that should not be interpreted as …

A Decade-Wide View Into Medical Student Professional Identity Formation Using The Career Eulogy: Are Gen Zs Different?, William J. Crump Md, Kristin L. Wickham Md, Craig Ziegler Phd, Nicholas T. Duncan Mba, Mph

Marshall Journal of Medicine

Introduction

Students born after 1996 (Gen Z) perceive themselves as distinct from millennials. Earlier surveys described Gen Z as valuing relationships, meaningful work, financial security, and happiness. Over the past decade, medical school populations have shifted from predominantly millennial to Gen Z. This study examined changes in professional identity formation across this period, using a validated career eulogy instrument.

Methods

From 2015 to 2024, 113 medical students at a rural regional medical school completed an annual career eulogy (98% participation). Students responded to the prompt: “Imagine you are retiring from medicine. In about 50 words, what would you like to …